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General NPI Number Information
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NPI Number | 1457953374
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Entity Type | Individual
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Provider Name | ERICA KANE
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Gender | Female
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Dates
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Enumeration Date | 11/16/2020
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Last Update Date | 11/16/2020
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Provider Practice Location Address
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Address Line | 505 N MICHIGAN AVE
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City | KENILWORTH
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State | NJ
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Zip | 07033-1076
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Country | US
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Telephone | 908-688-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 519 CRANBURY CIR
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-5141
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Country | US
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Telephone | 908-577-4964
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 25MZ00145400
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License Number State | NJ
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